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ORIGIN MEDICAL LLC

Company Details

Entity Name: ORIGIN MEDICAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 04 May 2020 (5 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L20000120028
FEI/EIN Number 85-1025126
Address: 224 DATURA STREET, 1309, WEST PALM BEACH, FL 33401
Mail Address: 224 DATURA STREET,, 1309, WEST PALM BEACH, FL 33401
ZIP code: 33401
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043838485 2020-07-13 2022-03-22 224 DATURA ST STE 1309, WEST PALM BEACH, FL, 334015641, US 224 DATURA ST STE 1309, WEST PALM BEACH, FL, 334015641, US

Contacts

Phone +1 727-267-8910
Phone +1 305-619-5378

Authorized person

Name CHRISTOPHER SPELLMAN
Role OWNER
Phone 8669535386

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes
Taxonomy Code 332BC3200X - Customized Equipment (DME)
Is Primary No

Agent

Name Role Address
Spellman, Christopher A Agent 224 DATURA STREET, 1309, WEST PALM BEACH, FL 33401

Manager

Name Role Address
Spellman, Christopher A Manager 224 DATURA STREET, WEST PALM BEACH, FL 33401

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REGISTERED AGENT NAME CHANGED 2021-11-22 Spellman, Christopher A No data

Documents

Name Date
AMENDED ANNUAL REPORT 2021-11-23
AMENDED ANNUAL REPORT 2021-11-22
ANNUAL REPORT 2021-03-07
Florida Limited Liability 2020-05-04

Date of last update: 15 Feb 2025

Sources: Florida Department of State